四川医学Issue(9)：1159-1161,3.
86例肾上腺偶发瘤临床分析
The Clinical Analysis of 86 Cases with Adrenal Incidentoloma
贺凯 1王耀东 1袁光亚 1何苑熙1
作者信息
- 1. 绵阳市中心医院泌尿外科，四川 绵阳621000
- 折叠
摘要
Abstract
Objective To improve diagnosis and differential diagnosis of adrenal incidentoloma to guide clinical therapy. Methods The clinical data of 86 cases of adrenal incidentoloma from January of 2005 to December of 2011 were retrospectively analysed,relative papers were also reviewed. Results 84 cases received operation,55 cases received retmperitoneal laparoscopic surgery,37 cases were tumors with secretary function,post operative pathology finally diagnosed adrenalcortical adenoma in 40 ca-ses,pheochromocytoma in 24 cases,myelolipoma in 8cases,cyst in 5 cases,adrenalcortical carcinoma and adrenal nodular hyperpla-sia in 2 cases,metastatic tumor,angioleiomyolipoma and paragangliloma in 1 case. All benign tumors were followed up 1-6 years without recurrence,metastatic tumors died in 2 years,one of adrenalcortical carcinoma died 11 months after operation,the other still survived 2 years and 3 months after operation. Conclusion Imaging examinations and laboratory tests are beneficial to diagnosis, AI cases should receive surgery positively except cyst,myelolipoma and hematoma less than 3cm in diameter, laparoscopic surgery can be first choice of operation.关键词
肾上腺肿瘤/偶发瘤/诊断/治疗Key words
adrenal tumor/incidentoloma/diagnosis/therapy分类
医药卫生引用本文复制引用
贺凯,王耀东,袁光亚,何苑熙..86例肾上腺偶发瘤临床分析[J].四川医学,2014,(9):1159-1161,3.
